Active NPI
Michael D Elder MD Inc
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1053583047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 14210
- Legal business name
- MICHAEL D ELDER MD INC
- Practice address
- 1111 N Lee Ave
Suite 236
Oklahoma City, OK 73103-2600 - Phone
- (405) 272-9644
- Fax
- (405) 272-0361
- NPI assigned
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Drew Elder, M.D.
- Title
- Owner
- Phone
- (405) 272-9644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 14210 | OK | Primary |
Addresses
Primary practice location
1111 N Lee Ave
Suite 236
Oklahoma City, OK 73103-2600
Mailing address
1111 N Lee Ave
Suite 236
Oklahoma City, OK 73103-2600
Phone (405) 272-9644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235485700 | Other | OR | DEPT OF LABOR |
| 050090950 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1053583047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N LEE AVE",
"address_2": "SUITE 236",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-272-9644",
"fax_number": "405-272-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N LEE AVE",
"address_2": "SUITE 236",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-272-9644",
"fax_number": "405-272-0361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D ELDER MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "ELDER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-272-9644",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OK",
"license": "14210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "235485700",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050090950",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- MHK Behavioral Services, LLC
- MHM Support Services
- Mi Clinica LLC
- Mia Bush, LPC-S, Ladc/MH, PLLC
- Osamah Tahir Mian
- Michael D. Allen, DDS, Ms, Inc.
- Michael Duncan, M.D., P.C.
- Michael H.Mowdy D.O Inc
- Michael Humphries M.S., CCC-SLP, Bcba & Associates PLLC
- Michael Humphries M.S.CCC-SLP, Bcba & Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.